[Surgery of abdominal aortic aneurysm in horseshoe kidney. Report of a case and review of the literature]. / Cirugía del aneurisma de aorta abdominal en presencia de riñón en herradura, a propósito de un caso y revisión de la literatura.

OBJECTIVE: A case of coexistent abdominal aortic aneurysm and horseshoe kidney is presented. The diagnostic difficulties and the different treatments are discussed. METHODS/RESULTS: A 55-year-old male patient with aneurysm of the abdominal aorta associated with a horseshoe kidney is described and the literature is reviewed. The diagnosis was made by CT and arteriography. Treatment was by the transperitoneal approach, division of the renal isthmus and placement of an aortoiliac dacron graft. CONCLUSION: Horseshoe kidney associated with abdominal aortic aneurysm requiring surgical management is uncommon, but when it occurs, aortic repair is significantly more difficult.

[Rectal hemorrhage as a first sign of renal cell adenocarcinoma]. / Rectorragia como primera manifestación de adenocarcinoma de células renales.

Renal cell carcinoma accounts for 85% of all renal primary tumours, the remaining 15% tumours originating either in the renal pelvis or the renal capsule. Clinical signs and symptoms of renal adenocarcinoma can be classified in four groups: specifically urological signs and symptoms, unspecific general symptoms, paraneoplastic syndromes, and metastasis-derived symptoms. The classical triad consists of haematuria, pain and palpable abdominal mass; at present this triad appears in a minority of cases, and is usually a late finding. The number of cases diagnosed from unspecific signs and symptoms is increasingly larger. Routine use of ultrasound and CAT allows a higher number of diagnosis, which frequently occur in the less advanced stages. The present paper presents a case report of renal cell adenocarcinoma, diagnosed from an infrequent early symptom such as rectal bleeding.

Percutaneous endoscopic urethrocervicopexy.

A minimally invasive surgical technique is proposed which considerably simplifies the Stamey technique, shortens the surgical time and fives a weighted success rate of over 80%, which makes it worthy of consideration in treating female urinary incontinence.

[Percutaneous endoscopic urethrocervicopexy]. / Uretrocervicopexia percutánea endoscópica.

A minimally invasive surgical technique that remarkably simplifies the Stamey procedure is described herein. The technique shortens the operating time and achieves a success rate of over 80%. Thus, we believe this technique should be considered in the treatment of stress urinary incontinence in females.

[Superficial tumors of the bladder: prognostic value of the free of disease period]. / Tumores vesicales superficiales: valor pronóstico del periodo libre de enfermedad.

We study retrospectively 123 cases of patients suffering from Ta/T1/T2 vesical tumour so as to evaluate the Disease Free Period as a predictive factor of relapse potential, capability of progression and survival. This parameter has no influence over the variables that define the progression of the tumour, but it has a close correlation with relapse potential; Annual Relapse Rate (p less than 0.001) and Mean Interval between Relapses (p less than 0.0001). We were not able to show any relationship between Disease-Free Period and Survival, however it defines those tumours which relapse due to tumoural persistence. These tumours progress in stage in 80% of cases and 75% of these do so with deep tumours.

[Effect of complementary treatment (radiotherapy, chemotherapy) on the survival of patients with T3 tumors of the bladder treated with radical surgery]. / Influencia del tratamiento complementario (radioterapia, quimioterapia) en la supervivencia de los tumores de vejiga T3 sometidos a cirugía radical.

We present the results obtained from the study of 65 patients with vesical carcinoma stage T3 treated with radical surgery with or without supplementary radiotherapy, with or without supplementary chemotherapy. The multivaried study of survival (Cox's model) shows that it depends significantly on the surgical complications and on the pathological state at the time of the cystectomy. Univaried analysis indicates that patients with descent from post-radiotherapy stage and those subjected to IOR (intraoperative radiotherapy) have a significantly better survival than the rest and suggests that radiotherapy improves overall survival. Influence of supplementary treatment (radiotherapy, chemotherapy) in the survival of T3 bladder tumours subjected to radical surgery.